%0 Journal Article
%T Impacting Precursors to Sexual Behavior Among Young American Indian Adolescents of the Northern Plains: A Cluster Randomized Controlled Trial
%A Bradley Morse
%A Carly Shangreau
%A Carol E. Kaufman
%A Cecelia K. Big Crow
%A Ellen M. Keane
%A Kirsten Black
%A Nicole R. Tuitt
%A Ruth Arthur-Asmah
%A Traci M. Schwinn
%J The Journal of Early Adolescence
%@ 1552-5449
%D 2018
%R 10.1177/0272431617708055
%X We assessed the effectiveness of a culturally grounded, multimedia, sexual risk reduction intervention called Circle of Life (mCOL), designed to increase knowledge and self-efficacy among preteen American Indians and Alaska Natives. Partnering with Native Boys and Girls Clubs in 15 communities across six Northern Plains reservations, we conducted a cluster randomized controlled trial among 10- to 12-year-olds (n = 167; mean age = 11.2). Club units were randomly assigned to mCOL (n = 8) or the attention-control program, After-School Science Plus (AS+; n = 7). Compared with the AS+ group, mCOL youth scored significantly higher on HIV/sexually transmitted infection (STI) knowledge questions at both follow-ups; self-efficacy to avoid peer pressure and self-efficacy to avoid sex were significantly higher at posttest; self-perceived volition was significantly higher at 9-month follow-up; and no differences were found for behavioral precursors to sex. mCOL had modest effects on precursors to sexual behavior, which may lead to less risky sexual behavior in later years
%K American Indian/Native American
%K sexual behavior (incl. pregnancy)
%K self-efficacy
%K technology
%K intervention/prevention
%U https://journals.sagepub.com/doi/full/10.1177/0272431617708055